Yes Democrats can prove that America pays more for health care than other countries yes they have won the dispute that private health insurance is needlessly expensive. But what they've lost is the argument that we are a society.
The only truly individualistic health-care choice – where you receive care that is unpolluted by anyone else's funds – is to forgo insurance altogether paying out-of-pocket for health services as you need them.
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What is at stake in the debate over health care is more than the mere crafting of policy. The issue is now the identity of the Democratic Party.